Congenital Vascular Malformations

Congenital vascular lesions

• hemangiomas  - 40% present @birth
• common on face
• mostly arterial
• rapid neonatal growth; slow involution
• malformations  - 99% present @birth
• common on limbs
• mostly venous
• grows in proportion to child
• result from inborn errors of vascular morphogenesis

Watch out for eroded or ulcerated skin

--> N.saline compresses; paraffin gauze; Rx infection

Consider potential for other system compromise, including psycho-social difficulties


Any extensive facial hemangioma or any midline spinal hemangioma

-->brain imaging: US scan; CT scan


Vascular malformations associated with more congenital abnormalities vs. hemangiomas